Common use of Administrative Clause in Contracts

Administrative. a. Health plans must be able to demonstrate to the DAS Benefits Administration that they can successfully provide services for their anticipated enrollment. b. Health plans must ensure that all participants are held harmless from any charges beyond established fees or co-pays for any benefit provided consistent with the health plan, regardless of the contracting or non-contracting status of the provider. c. All licensed health plans will carry reinsurance coverage holding participants harmless from any charges resulting from out-of-network claims in the event that the health plan becomes insolvent.

Administrative. a. Health plans must be able to demonstrate to the DAS Benefits Administration that they can successfully provide services for their anticipated enrollment. b. Health plans must ensure that all participants are held harmless from any charges beyond established fees or co-co- pays for any benefit provided consistent with the health plan, regardless of the contracting or non-contracting status of the provider. c. All licensed health plans will carry reinsurance coverage holding participants harmless from any charges resulting from out-of-network claims in the event that the health plan becomes insolvent.

Administrative. a. 1. Health plans must be able to demonstrate to the DAS Benefits Administration that they can successfully provide services for their anticipated enrollment. b. 2. Health plans must ensure that all participants State employee members and their covered dependents are held harmless from any charges beyond established fees or co-pays for any benefit provided consistent with as a part of the health plan, regardless of the contracting or non-contracting status of the provider. c. 3. All licensed health plans will carry reinsurance coverage holding participants employees and dependents harmless from any charges resulting from out-of-network claims in the event that the health plan becomes insolvent.

Administrative. a. Health plans must be able to demonstrate to the DAS Benefits Administration that they can successfully provide services for their anticipated enrollment. b. Health plans must ensure that all participants are held harmless from any charges beyond established fees or co-pays copays for any benefit provided consistent with the health plan, regardless of the contracting or non-contracting status of the provider. c. All licensed health plans will carry reinsurance coverage holding participants harmless from any charges resulting from out-of-network claims in the event that the health plan becomes insolvent.